Individual
JEANINE KOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3642
(703) 391-3455
Mailing address
9900 MAIN ST, SUITE 200A, FAIRFAX, VA 22031-3907
(703) 279-4394
(703) 279-4214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202016
VA
Other
Enumeration date
08/19/2005
Last updated
07/10/2007
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